Individual
KASEY FISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6 RICHLAND MEDICAL PARK DR STE 2100, COLUMBIA, SC 29203-6864
(803) 434-2762
(803) 434-2713
Mailing address
PO BOX 402145, ATLANTA, GA 30384-2145
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2867
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3551PA
—
SC
Enumeration date
11/30/2017
Last updated
04/04/2018
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